Active NPI
Jennifer Elaine Faulknor, PSYD
- Clinical Psychologist
- Hartsdale, NY
National Provider Identifier
1053508044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 020560
- Practice address
- 141 North Central Avenue
Hartsdale, NY 10530 - Phone
- (914) 949-7699
- Fax
- (914) 949-3224
- NPI assigned
- Oct 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 020560 | NY | Primary |
Addresses
Primary practice location
141 North Central Avenue
Hartsdale, NY 10530
Mailing address
1827 Edenwald Avenue
Bronx, NY 10466
Phone (914) 949-7699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399507200000",
"number": "1053508044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1827 EDENWALD AVENUE",
"city": "BRONX",
"state": "NY",
"postal_code": "10466",
"telephone_number": "914-949-7699",
"fax_number": "914-949-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 NORTH CENTRAL AVENUE",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "10530",
"telephone_number": "914-949-7699",
"fax_number": "914-949-3224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULKNOR",
"first_name": "JENNIFER",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-03",
"last_updated": "2014-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "020560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.